| NPI | 1477710986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON GUTIERRES P.T. 575-894-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NM 2906) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |